4004 Aetna Medicaid Administrators

Compensation

Full Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The External Affairs Administrator will inform and execute the OhioRISE Plan’s outreach and engagement activities in priority communities and with priority stakeholders. Responsibilities include: a. Serve as the primary OhioRISE Plan contact for all county and child-serving agencies, promoting alignment between community needs and the OhioRISE Plan and encouraging collaboration amongst local leaders, organizations, stakeholders, CMEs, and the OhioRISE Plan. b. Act as the primary liaison for the OhioRISE Plan in facilitating ODM-approved improvement initiatives that involve community-based organizations and necessitate outreach and engagement efforts that ensure broad participation, foster collaboration, and address community-specific needs effectively. c. Arrange regular, in-person meetings with ODM and other state funded community-based organizations, using these meetings to bolster the presence of the OhioRISE Plan as a trusted collaborative partner, share updates, discuss objectives, and strengthen collaboration. d. Develop and offer resources such as presentations, workshops, forums, and trainings for county or local child serving entities regarding the roles and responsibilities of the OhioRISE Plan. e. Lead internal Regional Teams, including primary responsibility for the development and monitoring of county profiles and all associated reporting. f. Engage with external partners (CMEs; county and child-serving entities; MCO Regional Coordinators) and internal partners (quality, utilization management, care coordination, network, and provider relations) to identify service and resource needs in local communities and collaborate with these partners to address the identified gaps. g. In partnership with ODM, establish stakeholder specific frameworks to include objectives, intended outcomes, and results. h. Facilitate and manage OhioRISE Plan participation at state-wide and community events within identified priority communities and in partnership with priority stakeholders. i. Act as priority system experts, providing specialized guidance and support to both internal and external partner Required Qualifications Must reside in Ohio At least 5-7 years’ experience in a setting that includes services for or management of multi-system youth, work with local/community systems of care, and knowledge of Ohio’s child-serving systems. Relevant experience related to child-serving systems and processes, public sector behavioral health care, and networking with experts in these fields. Demonstrated experience successfully implementing change in complex organizations. Demonstrated experience with large-scale initiatives with a high degree of complexity. Knowledge of Ohio’s child-serving systems, including but not limited to public children services agencies, boards of developmental disabilities, county behavioral health authorities, hospitals, the education system, family and children first councils, and the juvenile justice system. Knowledge of key resources for children, youth and families in the State of Ohio. Knowledge of the management of multi-system youth. Relationship management skills Collaboration and teamwork skills Time management skills Data analysis skills Negotiation/influencing skills Change management skills Conflict resolution skills Critical thinking skills Oral, written, and presentation communications skills Customer service skills Personal computer operations, keyboard navigation, and MS Office Suite applications skills Ability to work with all levels of management Ability to complete additional tasks as directed by manager Ability to demonstrate regular and reliable attendance. Ability to travel, mostly in-state with personal vehicle. Qualified candidates must have reliable transportation, valid/active driver’s license, and proof of vehicle insurance. Preferred Qualifications Knowledge and experience with high fidelity wraparound and care coordination preferred. Knowledge of state Medicaid managed care market, regulations, and practices preferred. Knowledge of Ohio’s behavioral health system preferred. Project management skills preferred. Strategic planning skills preferred. Regional management/coordination skills preferred. Experience working within the child welfare or children's behavioral health hospital setting preferred. Advanced degree Counties that we prefer candidates to live within or be near: Allen, Auglaize, Champaign, Clark, Darke, Hardin, Greene, Logan, Madison, Miami or Shelby Education Bachelor’s degree or equivalent work experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,300.00 - $132,600.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 02/17/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.